Mental Health Problems in Residential Care for Street Children

Background: Previous research has established high mental health problems in residential care for children. However, in Zambia little is known about the mental health of this peculiar group of young people. The study prescribed in this paper therefore, aimed to explore the mental health problems of street children in residential care and examine the relationship between multiple mental health problems (co-morbidity) and levels of stress.Methodology: The study utilized a sample of 74 street children (6 girls and 68 boys) in residential care aged 7-17 years. To collect data on children's mental health problems the Strengths and Difficulties Questionnaire (SDQ) was administered to agency carers and adolescents (if older than 11).Results: Nearly three quarters of street children in residential care were rated as having a mental health problem, as indicated by findings from both the self rated SDQ and the Carers' SDQ i.e. 48 children (76.1%) and 54 children (73.0%) respectively. Out of this population approximately one third were assessed as having multiple mental health problems i.e. 22 children (34.9%) and 33(44.6%) respectively. The study also found a significant relationship between multiple mental health problems (co-morbidity) and levels of stress.Conclusion: Street children in residential care are a high risk population to mental health problems. In addition, children with multiple mental health problems are much more likely to have high levels of stress.Keywords: street children, residential care, mental health problems, stres

Shift-Symmetric Configurations in Two-Dimensional Cellular Automata: Irreversibility, Insolvability, and Enumeration

The search for symmetry as an unusual yet profoundly appealing phenomenon, and the origin of regular, repeating configuration patterns have long been a central focus of complexity science and physics. To better grasp and understand symmetry of configurations in decentralized toroidal architectures, we employ group-theoretic methods, which allow us to identify and enumerate these inputs, and argue about irreversible system behaviors with undesired effects on many computational problems. The concept of so-called configuration shift-symmetry is applied to two-dimensional cellular automata as an ideal model of computation. Regardless of the transition function, the results show the universal insolvability of crucial distributed tasks, such as leader election, pattern recognition, hashing, and encryption. By using compact enumeration formulas and bounding the number of shift-symmetric configurations for a given lattice size, we efficiently calculate the probability of a configuration being shift-symmetric for a uniform or density-uniform distribution. Further, we devise an algorithm detecting the presence of shift-symmetry in a configuration. Given the resource constraints, the enumeration and probability formulas can directly help to lower the minimal expected error and provide recommendations for system's size and initialization. Besides cellular automata, the shift-symmetry analysis can be used to study the non-linear behavior in various synchronous rule-based systems that include inference engines, Boolean networks, neural networks, and systolic arrays.Comment: 22 pages, 9 figures, 2 appendice

High dose multiple micronutrient supplementation improves villous morphology in environmental enteropathy without HIV enteropathy: results from a double-blind randomised placebo controlled trial in Zambian adults

PMCID: PMC3897937This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated

Higgs boson hadronic branching ratios at the ILC

We present a study of the Higgs boson decay branching ratios to $b\bar{b}$, $c\bar{c}$ and gluons, one of the cornerstones of the physics program at the International Linear Collider (ILC). A standard model Higgs boson of 120\,GeV mass, produced in the Higgs-strahlung process at $\sqrt{s} = 250$\,GeV was investigated using the full detector simulation and reconstruction procedures. The analysis was performed in the framework of the Silicon Detector (SiD) concept with full account of inclusive standard model backgrounds. The selected decay modes contained two heavy flavour jets in the final state and required excellent flavour tagging through precise reconstruction of interaction and decay vertices in the detector. A new signal discrimination technique using correlations of neural network outputs was used to determine the branching ratios and estimate their uncertainties, 4.8\%, 8.4\% and 12.2\% for $b\bar{b}$, $c\bar{c}$ and gluons respectively.Comment: 9 Pages, 5 figures and 5 table

Renegotiating cultural practices as a result of HIV in the eastern region of Malawi

A number of studies have shown that HIV awareness is very high among Malawians and yet infection rates are rising. Local cultural practices have been identified as contributing to this contradictory situation. Using data from 12 focus-group discussions collected in Balaka, Zomba, Machinga and Mangochi, the paper explores the reformulation of nine cultural practices as a preventive measure against HIV. The study reveals that cultural practices that involve sexual acts for completion are mediated through condoms and HIV tests. The study also shows that traditional herbs known for healing ailments are repurposed to symbolise sexual acts. We conclude that the idea of repurposing offers an avenue in which initiation and cleansing rites that involve sexual acts are replaced by other semiotics such as a traditional medicine called mtela. We also conclude that the modifications to cultural practices do not indicate complete abandonment of associated traditions, rather, they constitute the renegotiation of cultural practices and meanings associated with particular rites of passage. Lastly, we propose that a comprehensive prevention programme needs to be part of a wider national HIV-prevention effort combining a women and child rights and empowerment agenda and, critically, lifestyle lessons in a process of cultural renegotiation.IBS

Language policy and orthographic harmonization across linguistic, ethnic and national boundaries in Southern Africa

Drawing on online and daily newspapers, speakers' language and writing practices, official government documents and prescribed spelling systems in Southern Africa, the paper explores the challenges and possibilities of orthographic reforms allowing for mobility across language clusters, ethnicity, regional and national borders. I argue that this entails a different theorisation of language, and for orthographies that account for the translocations and diasporic nature of late modern African identities and lifestyles. I suggest an ideological shift from prescriptivism to practice-orientated approaches to harmonisation in which orthographies are based on descriptions of observable writing practices in the mobile linguistic universe. The argument for orthographic reforms is counterbalanced with an expose on current language policies which appear designed for an increasing rare monoglot 'standard' speaker, who speaks only a 'tribal' language. The implications of the philosophical challenges this poses for linguists, language planners and policy makers are thereafter discussed.IS

Hydrological and Water Quality Characteristics of Rivers Feeding into Small Earth Dams for Rural Water Supply: A Case Study of Traditional Authority Kalolo in Lilongwe District

The obligation to ensure adequate and clean water supply to everyone, has necessitated the development of small earth dams for rural water supply in developing countries. In Malawi, there are approximately 750 small and medium dams most of which are used multiple purposes. However, in most cases, the sustainability of these dams is challenged by gross catchment mismanagement and improper designs and set up. In this study, FDC analysis, in conjunction with water quality assessment, was used to evaluate the reliability of rivers flows that supply small earth dams designed for rural water supply in Malawi, using Kalolo area in Lilongwe district as a case study. FDC analysis showed that over 80% of the time, all rivers in the study area would not meet the target community’s water demand, without the dams in place. Water quality assessments show biological contamination as the major water quality problem. Significant seasonal variation in water quality is evident, with the dry season having generally better biological water quality. Further, the study categorized the catchments areas as moderately to largely modified using rapid ecological assessment method. Therefore, the low biological water quality may be attributed to uncontrolled anthropogenic activities in the catchment, arising from lack of proper catchment management. It is then recommended that construction of such small earth dams should be preceded by thorough scientific design through appropriate engineering and environmental studies, encompassing hydrological, geological, ecological and socio-economic factors, if the small earth dams are to result into long term outputs.Keywords: River flow; small earth dams; flow duration curve; water quality; rural water supply

Shift-Symmetric Configurations in Two-Dimensional Cellular Automata: Irreversibility, Insolvability, and Enumeration

The search for symmetry as an unusual yet profoundly appealing phenomenon, and the origin of regular, repeating configuration patterns have been for a long time a central focus of complexity science, and physics. Here, we introduce group-theoretic concepts to identify and enumerate the symmetric inputs, which result in irreversible system behaviors with undesired effects on many computational tasks. The concept of so-called configuration shift-symmetry is applied on two-dimensional cellular automata as an ideal model of computation. The results show the universal insolvability of “non-symmetric” tasks regardless of the transition function. By using a compact enumeration formula and bounding the number of shift-symmetric configurations for a given lattice size, we efficiently calculate how likely a configuration randomly generated from a uniform or density-uniform distribution turns shift-symmetric. Further, we devise an algorithm detecting the presence of shift-symmetry in a configuration. The enumeration and probability formulas can directly help to lower the minimal expected error for many crucial (non-symmetric) distributed problems, such as leader election, edge detection, pattern recognition, convex hull/minimum bounding rectangle, and encryption. Besides cellular automata, the shift-symmetry analysis can be used to study the non-linear behavior in various synchronous rule-based systems that include inference engines, Boolean networks, neural networks, and systolic arrays

Prevalence and Factors Associated with Renal Dysfunction in HIV Positive and Negative Adults at the University Teaching Hospital, in Lusaka

Background: Despite having the highest disease burden of HIV, Sub-Saharan Africa has limited data on HIV related kidney disease with most available data coming from the developed countries. Kidney disease is a recognised complication in HIV infected patients presenting with acute renal failure (ARF) or chronic kidney disease (CKD). This study investigated the prevalence and risk factors associated with renal dysfunction among hospitalised HIV infected patients at the University Teaching Hospital (UTH), Lusaka.Methodology:We conducted a cross sectional study at the University Teaching Hospital Lusaka, in Zambia. Inclusion criteria were hospitalised patients aged 16years and above who consented to the study. Both HIV infected and uninfected patients were included in the study. After obtaining demographic information, study participants were screened for HIV upon their consenting for the test. Afull clinical history and examination was done by study physician to determine factors associated with renal dysfunction.Results: Of the 300 recruited hospitalised patients in this cross sectional study, 142(47%) were HIV infected. We observed a high prevalence of renal dysfunction among hospitalised HIV infected patients compared to uninfected patients (42% vs. 27%, adjusted OR 1.99, 95% CI 1.20-3.28). They had a twofold increased likelihood of developing kidney dysfunction (OR 1.96,95 CI%; 1.21-3.17). The presence of vomiting was strongly associated with renal dysfunction in both HIV positive (AOR 7.77, 95% CI 2.46-24-53) and negative (AOR4.83, 95%CI 1.40-16.66) subgroups. WHO stage III was associated with renal dysfunction in HIV infected patients. Tenofovir use, (a first line antiretroviral drug in Zambia) and hypotension were not significant factors associated with kidney disease after adjusting for other clinical parameters.Conclusion: Renal dysfunction is significantly higher among hospitalised HIV infected compared to uninfected, however tenofovir and hypotension were not associated with renal dysfunction.Keywords: Renal dysfunction, HIV, acute renal failure, vomitin

Factors Associated With Poor Medication Adherence In Hypertensive Patients In Lusaka, Zambia

Objectives: To determine the prevalence of drug adherence and factors associated with poor adherence to antihypertensive treatment among adults seen in the department of medicine at UTH. To investigate patient related and health care system related factors associated with poor adherence to antihypertensive Drugs.Methods: 237 adult patients aged 18 and above with previous diagnosis of essential hypertension receiving out patient care in the University Teaching Hospital (UTH) were recruited from the first week of November to the second week of December 2010. Information was collected regarding health care system related factors and care giver related factors to patient non adherence using self report and modified Hill-Bone compliance scale.Results: The prevalence of adherence was 83% by self report and 70% using modified Hill-Bone scale. The mean age was 57.8 ± 12.0 SD. Patients on three antihypertensive drugs were less likely to be nonadherent (OR 0.21; 95% 95% CI 0.06-0.79) than patients taking only one drug. Majority (60%) of the patients were reviewed at least twice in the last 6 months at the time of the interview. 195 (83%) patients reported that drugs prescribed were not available at the hospital pharmacy, but 186 (79%) of these were able to purchase the drugs elsewhere. Patients counseled by the nurse were more likely to be adherent than those not counseled by the nurse (OR 2.7: 95% CI1.0-7.3). Those who were counseled for more than 5 minutes had three fold likelihood of less non-adherence as reported by both self report and modified Hill-Bone with OR 0.3: 95% CI 0.2-0.8 and 0.3: 95% CI 0.1-0.5, respectively. Multivariable analysis showed that; participants were more likely to be non-adherent by self-report if they had attained a primary level of education, had missed appointments due to lack of transport, or had experienced the side effect of dizziness. Patients with heart failure were more likely to be nonadherent based on the modified Hill-Bone score.Conclusion: The prevalence of adherence among hypertensive patients was found to be higher than anticipated. The factors associated with nonadherence included side effect of dizziness, missed appointment due to lack of transport, and living at a distance of more than 10 km from the hospital. Taking 3 BP drugs and receiving more than 5 minutes of counseling about how to take medications were both associated with decreased likelihood of non-adherence